Bowdoin Street Health Ceneter

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

110834 Issued in MA

Legal business name

BOWDOIN STREET HEALTH CENETER

Practice address

230 Bowdoin St
Dorchester, MA 02122-1817

Phone

(617) 754-0100

Fax

(617) 754-0230

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adela Margules

Title

Executive Director

Phone

(617) 754-0200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093867863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BOWDOIN ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221817",
            "telephone_number": "617-754-0100",
            "fax_number": "617-754-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BOWDOIN ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221817",
            "telephone_number": "617-754-0100",
            "fax_number": "617-754-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWDOIN STREET HEALTH CENETER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARGULES",
        "authorized_official_first_name": "ADELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-754-0200"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MA",
            "license": "110834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Medical Center Corporation Dba BMC Pharmacy at Codman Square
• Boston Nutrition Care (Trung Tam Tuoi Vang)
• Elmehdi Boujida, D.M.D
• Emmanuel Bouloute, NP
• Bowdoin St. Health Center
• Bowdoin Street Health Center
• Bowdoin Street Health Center
• Vanessa C Bowen Newton, LMHC 5478
• Myles Bowen, M.A.
• Ivy Lynn Brackup, MD

• Community Health Clinic/Center in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Community Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.